How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,445 to $6,918Professionalmedian $209 · 10th to 90th $33 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $660.69 Median $2,238.72 Typical High $6,918.31 | Facility | None | $660.69 | $2,238.72 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $407.38 | Professional | None | $208.93 | $223.87 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $467.74 | Professional | None | $194.98 | $194.98 | $467.74 |
BCBS Texas Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $7,244.36 | Facility | None | $1,479.11 | $2,884.03 | $7,244.36 |
BCBS Texas Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $346.74 | Professional | None | $199.53 | $251.19 | $346.74 |
Christus Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,862.09 Typical High $2,630.27 | Facility | None | $457.09 | $1,862.09 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $537.03 | Professional | None | $186.21 | $269.15 | $537.03 |
Health Smart Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $2,398.83 Typical High $5,495.41 | Facility | None | $323.59 | $2,398.83 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $407.38 | Professional | None | $208.93 | $223.87 | $407.38 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $162.18 Typical High $218.78 | Professional | None | $29.51 | $162.18 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $467.74 | Professional | None | $446.68 | $446.68 | $467.74 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $1,905.46 Typical High $3,890.45 | Facility | None | $407.38 | $1,905.46 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $524.81 | Professional | None | $186.21 | $269.15 | $524.81 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,570.88 | $9,549.93 |
United Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $478.63 | Professional | None | $173.78 | $295.12 | $478.63 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $112.20 Typical High $165.96 | Professional | 52 · Reduced service | $104.71 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $66.07 | Professional | 53 · Discontinued | $41.69 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $169.82 Typical High $245.47 | Professional | 54 · Surgery only | $154.88 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.88 Typical High $50.12 | Professional | 55 · Aftercare only | $31.62 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $33.11 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $158.49 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $144.54 | $158.49 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $112.20 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $44.67 | $51.29 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 54 · Surgery only | $154.88 | $169.82 | $190.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $31.62 | $33.88 | $38.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $25.12 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $158.49 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $144.54 | $158.49 | $177.83 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$214
AK $891UT $195
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.